Private & Youth Group Request Form Education Request Form - Non-School Group, Private or Youth Group Please fill out this form to request an education program at the Zoo for your club or other private group. This is a REQUEST only--we will contact you to finalize details or discuss alternate dates. . Requests must be made at least 2 weeks prior to your visit. Please make sure you see a confirmation screen indicating your form has been submitted successfully. If you have any questions feel free to call 520-837-8200 or email education@reidparkzoo.org YAHOO and AOL USERS: Please email us directly to request your program at education@reidparkzoo.org. This form will not function properly from Yahoo and AOL email accounts. We apologize for the inconvenience. Today's date* Date Format: MM slash DD slash YYYY Your Organization's Name (if applicable)Your Name* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How many adults will be in your group?*How many children will be in your group?*What is the age range of the children in your group?What type of program would you like?*Zoo Adventure Program (all ages) $12 ppJunior Zoo Keeper (ages 5 and up) $25ppDr. Zoo (ages 8 and up) $25ppPlease choose a topic*HabitatsAdaptationsLocomotionZoo 101Conservation and Endangered Species (Ages 8 and up)Animal Food and Nutrition (Ages 6 and up)Animal Care and Health (Ages 8 and up)Please list your top three date choices (use the "+" to add dates)* Reservations must be made 2 weeks in advance of requested dates. Programs are available 7 days a week except the Elephant Experience. Preferred Start Time?*Please note the Elephant Experience has a set start time of 8:00 am October- May and 7:00 am June- September. Additional questions or notes for Zoo staff?Full payment, in one lump sum, must be received before or on the program date. What is your preferred method of payment?CashCheckCredit card (Visa, MC, or Discover)Purchase orderCAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
